NPI | 1770259699 |
---|---|
Former Name | LYNDSAY MAY WEESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP211165) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN68021) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2021-12-28 |